Pediatric Orthotic And Prosthetic Services-Southeast, Llc

LBN: Pediatric Orthotic And Prosthetic Services-Southeast, Llc
Pediatric Orthotic And Prosthetic Services-Southeast, Llc is an health care organization with primary practice located at 3100 Samford Ave , Shreveport LA 71103-4239. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Pediatric Orthotic And Prosthetic Services-Southeast, Llc can be contacted via phone (318) 226-3310, or through Gomez, Joseph Anthony via phone (318) 226-4279.

Contact Information

Primary practice address
3100 Samford Ave Shreveport LA 71103-4239
Phone: (318) 226-3310
Fax: (318) 226-4294
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Joseph Anthony BOCO
Phone: (318) 226-4279

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1912303330
LBN Legal business name Pediatric Orthotic And Prosthetic Services-Southeast, Llc
DBA Doing business as
Authorized official Gomez, Joseph Anthony BOCO
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 12th, 2014
Last updated Feb 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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